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Flevy Management Insights Case Study
Agile Procurement Strategy for Healthcare Equipment Distributor


There are countless scenarios that require Make or Buy. Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Make or Buy to thoroughly analyze their unique business challenges and competitive situations. These firms provide strategic recommendations based on consulting frameworks, subject matter expertise, benchmark data, best practices, and other tools developed from past client work. Let us analyze the following scenario.

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Consider this scenario: A leading healthcare equipment distributor is at a crossroads, facing the strategic challenge of deciding on a make or buy decision for their logistics operations.

The company has seen a 20% increase in operational costs, coupled with a 15% decrease in customer satisfaction ratings over the past two years. Externally, the organization is contending with rising competition from both established firms and new entrants, which has led to a 5% shrinkage in market share. Internally, inefficiencies in supply chain management and outdated logistics infrastructure have been significant hurdles. The primary strategic objective of the organization is to streamline its logistics and procurement operations to improve cost-efficiency and customer service quality.



The healthcare equipment distribution industry is confronting a pivotal moment, with companies navigating through rapidly evolving technological landscapes and changing customer expectations. A deeper examination reveals that the distributor's challenges may stem from an over-reliance on traditional logistics models and a slow adaptation to digital procurement solutions. These factors likely contribute to the operational inefficiencies and the decline in customer satisfaction.

Competitive Landscape

  • Internal Rivalry: The industry sees intense competition due to the presence of numerous players, fostering a scenario where innovation and efficient service delivery are crucial for survival.
  • Supplier Power: Suppliers wield significant power, especially those providing specialized healthcare equipment, which can impact procurement costs and margins for distributors.
  • Buyer Power: With the advent of digital channels, buyers have more options and information, leading to higher bargaining power and expectations.
  • Threat of New Entrants: Barriers to entry are moderate, with new digital-first entrants posing a significant threat due to their agile operations and customer-centric approaches.
  • Threat of Substitutes: The threat is moderate but growing, as healthcare providers explore direct procurement from manufacturers to cut costs.

  • Digital Transformation in Procurement: The shift towards digital platforms offers an opportunity to enhance efficiency and transparency in operations but requires significant investment in technology and training.
  • Increasing Importance of Sustainability: There's a rising trend towards sustainable procurement practices, presenting an opportunity to differentiate in the market. However, it also poses a risk in terms of higher operational costs.
  • Global Supply Chain Vulnerabilities: Recent disruptions have highlighted the need for resilient supply chains, offering a chance to innovate in logistics strategies but requiring investments in diversification and technology.

Conducting a STEER analysis, it becomes apparent that sociocultural shifts towards health and sustainability, technological advancements, economic fluctuations, environmental concerns, and regulatory changes are pivotal external factors shaping the industry landscape. These elements not only impact the current operational framework but also dictate the strategic direction for future growth and sustainability.

Learn more about Supply Chain Agile Competitive Landscape

For a deeper analysis, take a look at these Competitive Landscape best practices:

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Internal Assessment

The organization showcases a strong reputation and a broad network of healthcare providers but struggles with outdated logistics systems and a lack of digital procurement capabilities.

A MOST Analysis indicates that the company's mission to be a leading distributor aligns with market needs, but its strategies, objectives, and tactics need realignment towards more agile and technology-driven operations.

Core Competencies Analysis reveals that while the organization has a deep understanding of the healthcare equipment market, it needs to develop stronger competencies in digital transformation and agile supply chain management to retain its competitive edge.

Distinctive Capabilities Analysis underscores the need for the organization to bolster its capabilities in innovation, customer service, and sustainability practices to differentiate itself in a crowded and competitive market.

Learn more about Digital Transformation Customer Service Supply Chain Management

Strategic Initiatives

  • Digital Transformation of Procurement Processes: Implement a digital procurement platform to streamline operations and enhance efficiency. This initiative is expected to reduce operational costs by 20% and improve supplier and inventory management. The source of value creation comes from increased operational efficiency and responsiveness to market changes. This will require investment in technology, training, and change management.
  • Strategic Supplier Partnerships: Establish long-term partnerships with key suppliers to ensure supply chain resilience and cost-effectiveness. The intended impact is to mitigate risks associated with supply chain disruptions and to secure competitive pricing. Value creation arises from enhanced supply chain stability and potential cost savings. Resources needed include dedicated teams for supplier relationship management and negotiation expertise.
  • Customer Experience Enhancement: Revamp the customer service framework to include digital tracking and self-service capabilities for clients. This aims to improve customer satisfaction ratings by 30%. Value is created through elevated customer loyalty and potential market share gains. Investment in customer relationship management (CRM) systems and training for customer service teams is required.
  • Make or Buy Decision for Logistics Operations: Conduct a comprehensive analysis to decide whether to invest in in-house logistics capabilities or outsource to a third-party logistics provider. This initiative seeks to optimize logistics efficiency and cost. The decision's value hinges on achieving the best balance between cost and service quality. Resources needed include analytical tools and consultancy services for an in-depth evaluation.

Learn more about Change Management Inventory Management Customer Loyalty

Make or Buy Implementation KPIs

KPIS are crucial throughout the implementation process. They provide quantifiable checkpoints to validate the alignment of operational activities with our strategic goals, ensuring that execution is not just activity-driven, but results-oriented. Further, these KPIs act as early indicators of progress or deviation, enabling agile decision-making and course correction if needed.


What gets measured gets managed.
     – Peter Drucker

  • Operational Cost Reduction: A decrease in operational costs will indicate successful implementation of digital procurement and efficient logistics management.
  • Customer Satisfaction Score: An improvement in this score will reflect the success of customer experience initiatives.
  • Supplier Partnership Effectiveness: Measured by supply chain resilience during disruptions and cost-effectiveness of procurement.

These KPIs provide insights into the effectiveness of the strategic initiatives, indicating areas of success and highlighting opportunities for further improvement. They serve as a critical feedback loop for refining strategies and operations to align with the company's strategic objectives.

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Make or Buy Deliverables

These are a selection of deliverables across all the strategic initiatives.

  • Digital Procurement Platform Implementation Plan (PPT)
  • Strategic Supplier Partnership Framework (PPT)
  • Customer Experience Enhancement Roadmap (PPT)
  • Make or Buy Analysis Report (PPT)
  • Strategic Initiative Financial Impact Model (Excel)

Explore more Make or Buy deliverables

Make or Buy Best Practices

To improve the effectiveness of implementation, we can leverage best practice documents in Make or Buy. These resources below were developed by management consulting firms and Make or Buy subject matter experts.

Digital Transformation of Procurement Processes

The organization utilized the Value Chain Analysis and the Resource-Based View (RBV) to guide the digital transformation of its procurement processes. Value Chain Analysis, initially proposed by Michael Porter, was instrumental in understanding how digital technologies could optimize the procurement activities that contribute most significantly to value creation. This framework helped the team identify key areas within procurement that were ripe for digital enhancement. The Resource-Based View further supported this initiative by focusing on leveraging the company's unique resources - particularly its skilled procurement team and technological capabilities - to gain a competitive advantage through digital transformation.

The implementation process involved:

  • Conducting a Value Chain Analysis to pinpoint procurement activities that were either cost centers or could significantly benefit from digitization.
  • Assessing the company's technological resources and capabilities in line with the RBV framework to ensure they could support the proposed digital enhancements.
  • Developing a phased implementation plan that prioritized digitization projects based on their potential impact on value creation and resource availability.

The results of implementing these frameworks were transformative. The digital transformation initiative led to a streamlined procurement process, with a 20% reduction in operational costs and improved supplier and inventory management. The strategic use of Value Chain Analysis and RBV enabled the organization to effectively prioritize and deploy digital technologies, enhancing its competitive position in the healthcare equipment distribution market.

Learn more about Competitive Advantage Value Chain Analysis Value Creation

Strategic Supplier Partnerships

For the Strategic Supplier Partnerships initiative, the organization applied the Partnership Model and the VRIO Framework. The Partnership Model facilitated the establishment of long-term relationships with key suppliers by providing a structured approach to identifying and engaging with suppliers whose capabilities and strategic goals aligned with those of the organization. The VRIO Framework, which assesses the value, rarity, imitability, and organization of resources, was used to ensure that these partnerships provided a sustained competitive advantage.

The team executed the initiative by:

  • Utilizing the Partnership Model to evaluate potential suppliers based on strategic fit, shared values, and long-term potential for mutual growth.
  • Applying the VRIO Framework to assess the unique resources and capabilities each supplier brought to the partnership, ensuring they could not be easily replicated by competitors.
  • Formalizing agreements that emphasized collaborative planning, shared risk and reward, and ongoing performance metrics.

The strategic supplier partnerships significantly enhanced the organization's supply chain resilience and procurement cost-effectiveness. By carefully selecting partners and structuring relationships based on the Partnership Model and VRIO analysis, the company mitigated risks associated with supply chain disruptions and secured a competitive edge through preferential pricing and enhanced innovation.

Learn more about Supply Chain Resilience

Customer Experience Enhancement

The Customer Journey Mapping and Service Design Thinking frameworks were pivotal in the Customer Experience Enhancement initiative. Customer Journey Mapping allowed the organization to visualize the end-to-end experience of their customers, identifying key touchpoints that could be enhanced through digital solutions. Service Design Thinking then provided the methodology to innovate and redesign services with a customer-centric focus, ensuring that new digital features truly met customer needs and expectations.

The implementation was carried out through:

  • Creating comprehensive Customer Journey Maps for different customer segments to identify pain points and opportunities for digital enhancement.
  • Employing Service Design Thinking workshops that involved cross-functional teams to ideate and prototype digital solutions aimed at improving key customer touchpoints.
  • Testing and refining these solutions with a subset of customers before a full-scale rollout, ensuring they effectively addressed customer needs.

These frameworks led to a significant improvement in customer satisfaction ratings by 30%. The strategic focus on understanding and redesigning the customer experience through Customer Journey Mapping and Service Design Thinking enabled the organization to develop targeted digital interventions that resonated with customer needs, fostering loyalty and competitive differentiation.

Learn more about Design Thinking Customer Experience Service Design

Make or Buy Decision for Logistics Operations

To navigate the Make or Buy decision for its logistics operations, the organization leveraged Transaction Cost Economics (TCE) and the Capability Maturity Model Integration (CMMI). TCE provided a framework for analyzing the costs associated with in-house logistics versus outsourcing, considering factors such as contract enforcement, negotiation costs, and flexibility. CMMI offered a structured approach to evaluate the organization's internal capabilities in managing complex logistics operations and identifying areas for improvement.

The process included:

  • Applying TCE to compare the transaction costs of maintaining logistics in-house versus outsourcing to third-party providers.
  • Using CMMI to assess the maturity of the organization's logistics capabilities and identify gaps that could be better addressed through outsourcing.
  • Considering strategic factors such as control over the logistics process, scalability, and the ability to innovate within the logistics function.

The comprehensive analysis led to a well-informed Make or Buy decision that optimized logistics efficiency and cost. By applying TCE, the organization could objectively evaluate the financial implications of each option, while CMMI provided insights into the internal capabilities and potential benefits of outsourcing logistics operations. This strategic decision-making process ensured that the chosen path aligned with the company's broader operational and financial goals.

Learn more about Maturity Model Make or Buy

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Key Findings and Results

Here is a summary of the key results of this case study:

  • Operational costs reduced by 20% following the digital transformation of procurement processes.
  • Customer satisfaction ratings improved by 30% due to enhancements in the customer service framework.
  • Supply chain resilience and procurement cost-effectiveness significantly enhanced through strategic supplier partnerships.
  • Make or Buy decision for logistics operations optimized logistics efficiency and cost, though specific quantitative results are not provided.

The strategic initiatives undertaken by the organization have yielded substantial benefits, particularly in reducing operational costs and improving customer satisfaction. The digital transformation of procurement processes and the enhancement of the customer service framework have directly addressed the primary strategic objectives, demonstrating the effectiveness of leveraging digital technologies and customer-centric strategies. However, while the strategic supplier partnerships have enhanced supply chain resilience, the lack of quantifiable results regarding the Make or Buy decision for logistics operations suggests an area where outcomes may not have fully met expectations or where further analysis is needed to ascertain the impact. This gap highlights the importance of not only making strategic decisions but also establishing clear metrics for evaluating their success. Additionally, while the initiatives have contributed to operational efficiency and customer satisfaction, the report does not explicitly address the 5% shrinkage in market share, suggesting that competitive positioning and market expansion strategies may require further attention.

Given the results and the analysis, the recommended next steps should include a deeper evaluation of the Make or Buy decision's long-term impact on logistics efficiency and costs, potentially exploring hybrid models that combine in-house operations with strategic outsourcing. Furthermore, to address market share concerns, the organization should consider initiatives aimed at market expansion and competitive differentiation, possibly leveraging the improved operational efficiency and customer satisfaction to enter new markets or segments. Finally, continuous investment in digital capabilities and sustainability practices is recommended to maintain competitiveness in a rapidly evolving industry landscape, ensuring the organization remains agile and responsive to market and technological changes.

Source: Agile Procurement Strategy for Healthcare Equipment Distributor, Flevy Management Insights, 2024

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